MEDSURG VATI ASSESSMENT QUESTIONS AND ANSWERS 2025

MEDSURG VATI ASSESSMENT
QUESTIONS AND ANSWERS 2025
Aanurseaisaassistingawithatheacareaofafouraclients.awhichaofatheafollowingaclientsaisathea
priorityafor the nurse to see

-aaclientawhoahasachestatubesaandaanaoxygenasataofa90%
-aaclientawhoahasaperipheralaedemaaandaurinaryaoutputaofa130aovera4hrs
-aaaclientawhoahasaaapermanentapacemakerawithaheartarateaofa76/min
-aaclientawhoahasapericarditisaandatemp.a38aca100.4A-acorrectaanswers--
aaaclientawhoahasachestatubesaandaanaoxygenasataofa90%




Usingatheaairway,Abreathing,aandacirculationaapproachatoaclientacare,atheanurseashoulda
determineathatatheapriorityafindingaisatheaclient'saoxygenasaturationalevel,awhichaisabelow
atheaexpectedareferencearangeaofa95%atoa100%.atherefore,atheanurseashouldaattendatoathisa

clientafirst.
Aanurseaisacollectingadataafromaaaclientawhoawasaadmittedawithaaaglasgowacomaascalea
Ofa3.awhich ofatheafollowingafindingsashouldatheanurseaexpect?
-avacalizesasound
-blinksaeyesawhenaasked
-followsamotoracommands
-nonresponsiveacommandsa-acorrectaanswers-nonresponsiveacommands

Aaclientawhoahasaaagcsaofalessathana8ahasaevidenceaofasevereaheadainjuryaandaisainaaa
Comatoseastate.atheagcsaisaaastandardizedatoolathataallowsaforatheaevaluationaofaaa
Client'salevelaofaconsciousness.atheatestaisadividedaintoathreeasectionsathataevaluateaeyeaop
ening,amotoraresponse,aandaverbalaresponse.atheagcsarangesafromaaahighascoreaofa
15A(fullyaalert)atoaaalowascoreaofa3a(fullyacomatose).
Aanurseaisamonitoringaaaclientawhoahasaaapneumothoraxaandaaachestatubeainaplaceawithaaacl
osedachestadrainageasystemaconnectedatoalowasuction.aforawhichaofatheafollowinga
Findingsashouldatheanurseanotifyatheachargeanurse

-afluctationaofatheawateralevelainatheawaterasealachamber
-constantabublingainatheasuctionacontrolachamber
-aperiodicabubblingainatheawaterasealachamber
-apersistentabubblingainatheawaterasealachambera-acorrectaanswers--
apersistentabubblingainatheawaterasealachamber




Excessiveaandapersistentabubblingainatheawater-
sealachamberaindicatesaanaairaleakainatheadrainageasystem.atheanurseashouldanotifyatheacha
rgeanurseaofathisafinding.
Aanurseaisareinforcingateachingawithaaamaleaclientawhoahasarightasidedahemiparesisaabout

,Preformingaadl's.awhichaofatheafollowingainstructionsashouldatheanurseaincludeainatheateachi
ng
-combayourahairawithatheaunaffectedaarm
-dressayouraunaffectedasideafirst chooseaclothingawithabuttons
-shaveawithayouraaffectedasidea-acorrectaanswers-combayourahairawithatheaunaffectedaarm

Theanurseashouldainstructatheaclientatoabrushatheirahairawithatheaunaffectedaarmatoareduceafr
ustrationaandaincreaseaindependenceaandaself-esteem.
Aanurseaisacollectingadataafromaaaclientaandaauscultatesaintermittentahigh-
pitchedasoundsaduringainspirationaoverathealowerabaseaofathealungs.atheanurseashouldaident
ifyathisafindingaasawhichaofatheafollowingalungsasounds

-afineacrackles
-stridor
-rhonchi
-frictiona-acorrectaanswers--afineacrackles

Fineacracklesaareaauscultatedainatheabaseaofathealungsaasaairamovesathroughaairwaya
Secretions.afineacracklesaareaintermittent,Ahigh-
pitchedasoundsaheardamoreaoftenaduringainspiration.
Aanurseaisacollectingadataafromaaaclientawhoahasacoronaryaarteryadisease.awhichaofathea
Following
Manifestationsashouldatheanurseaidentifyaasaanaindicationathatatheaclientahasaanginaa(asata)
-achestadiscomfortaradiated
-apainalastingalessathata15mins
-apainathataisarelievedawitharesta-acorrectaanswers--achestadiscomfortaradiated
-apainalastingalessathata15mins
-apainathataisarelievedawithares
Aanurseaisareceivingachange-of-
shiftareportaforaaagroupaofaclients.awhichaofatheafollowingaclients
Shouldatheanurseaplanatoaseeafirst?
-aaaclientawhoahasadiabetesamellitusawithadiaphoretica-acorrectaanswers-
aaclientawhoahasadiabetesamellitusawithadiaphoretic

Whenausingatheaurgentavs.anonurgentaapproachatoaclientacare,atheanurseashouldadetermine
athatatheapriorityaactionaisatoaattendatoaaaclientawhoahasadiabetesamellitusaandaisadiaphoretic.

adiaphoresisaisaaamanifestationaofahypoglycemiaaandacanaleadatoadecreasedacerebralafuncti

on.atheanurseashouldacheckatheaclient'sabloodaglucoseaandaadministeraaafast-
actingaglucoseaasaprescribed.
Aanurseaisacollectingadataafromaaaclientawhoahasatuberculosisaandastartedacombinationather
apy
2monthsaago.awhichaofatheafollowingadiagnosticaresultsaindicatesathatatheaclientaisaadhering
atoathe

Medicationaregimen.
-aaanegativeachestax-ray
-aaanegativeasputumaculture

, -aanegativeatuberculinaskinatest
-aanegativeatiteraforacytomegalovirusa-acorrectaanswers-aanegativeasputumaculture

Tuberculosisaisaanainfectiousadiseaseaspreadathroughaairborneadroplets.asputumaculturesa
areaobtainedatoabothadiagnoseatuberculosisaandatoadetermineawhetheratheamedicationatreat
mentahasabeenaeffective.aafteratheaclientabeginsaantibioticatreatmentaforatuberculosis,aaaspu
tumacultureaisaobtainedamonthly.aaanegativeacultureaisaanaindicationathatatheaclientaisanoalon
gerainfectiousaandatheamedicationatherapyahasabeenaeffective.
Aanurseaisacollectingadataafromaaaclientawhoahasabacterialameningitis.awhichaofatheafollowin
g
Findingsashouldatheanurseaexpect?
-asevereaheadachea-acorrectaanswers--asevereaheadache

Theanurseashouldaexpectaaaclientawhoahasameningitisatoahaveasevereaandapersistentaheada
chesathataworsenawithamovementaofatheahead.
Aanurseaisareinforcingawithaaaclientawhoahasaperniciousaanemia.awhichaofatheafollowingastat
ementsabyatheaclientaindicatedaanaunderstandingaofatheateaching
-aiawillabeaableatoaswitchatoaaanasalaformaofacyanocobalaminawhenamyalevelsastabilizea-
acorrectaanswers-

iawillabeaableatoaswitchatoaaanasalaformaofacyanocobalaminawhenamyalevelsastabilize
Aanurseaisareinforcingadischargeateachingawithaaaclientawhoahasacopdaandareportsaepisodes
aof

Dyspnea.awhichaofatheafollowingainstructionsashouldatheanurseainclude?
-ausedatheapursedalipabreathingatechniquea-acorrectaanswers-
usedatheapursedalipabreathingatechnique

Aaclientawhoahasacopdashouldauseatheapursed-
lipabreathingatechniqueatoaprolongaexhalation,awhichaincreasesapositiveapressureainathealun
gs,adecreasesadyspnea,aandapromotesaairaexchange.
Aanurseaisareinforcingateachingawithaaaclientawhoahasavaricoseaveinsaofathearightaloweraextr
emity.
Whichaofatheafollowingainstructionsashouldatheanurseaincludeainatheateaching
-aapplyaelasticasupportahoesabeforeagettingaoutaofabedainatheamorninga-acorrectaanswers--
aapplyaelasticasupportahoesabeforeagettingaoutaof abedainatheamorning




Theanurseashouldainstructatheaclientatoaapplyaelasticasupportahoseabeforeaplacingalegsainaaa
dependentapositionabecauseabloodavesselsacontainalessacongestedabloodaafterasleepingad
uringatheanight.avaricoseaveinsaareathearesultaofaincreasedapressureawithinatheavesselawallaa
ndavalve,awhichaareaincompetentaatapromotingavenousareturn.aitamanifestsaasaachingapaina
andafatigueatoatheaextremity,aandaitacanacauseavisibleadilationaofatheaveins.
Aanurseaisapreparingatoatransferaaaclientafromaaabedatoachairafollowingaaatotalakneeaarthropla
sty.atheaclientahasaaaprescriptionaforapartialaweightabearing.awhichaofatheafollowingaactionsas
houldatheanurse
Take
-aflexaatatheahipaandakneesabeforeatransferringatheaclienta-acorrectaanswers--
aflexaatatheahipaandakneesabeforeatransferringatheaclient